O65.9 — Obstructed labor due to maternal pelvic abnormality, unspecified
Is O65.9 billable?
Yes, but O65.9 is an unspecified code. O65.9 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, O65.9 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting O65.9 — the more specific alternatives are listed below.
More specific alternatives
- O65.0Obstructed labor due to deformed pelvis
- O65.1Obstructed labor due to generally contracted pelvis
- O65.2Obstructed labor due to pelvic inlet contraction
- O65.3Obstructed labor due to pelvic outlet and mid-cavity contraction
- O65.5Obstructed labor due to abnormality of maternal pelvic organs
- O65.8Obstructed labor due to other maternal pelvic abnormalities
O65.9 at a glance
| Code | O65.9 |
|---|---|
| Description | Obstructed labor due to maternal pelvic abnormality, unspecified |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does O65.9 group to?
O65.9 sits in MDC 14 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 817Other Antepartum Diagnoses with O.R. Procedures with MCCsurgical
- 818Other Antepartum Diagnoses with O.R. Procedures with CCsurgical
- 819Other Antepartum Diagnoses with O.R. Procedures without CC/MCCsurgical
How is O65.9 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to O65.9. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Delivery › complicated › by › obstructed labor › due to › pelvic › abnormality (childbirth) (labor)
Excludes1 — never code together — inherited from Chapter 15
The conditions below can never be reported together with O65.9 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- supervision of normal pregnancy (Z34.-)
Use additional code — inherited from Chapter 15
Report an additional code alongside O65.9 to fully describe the condition. O65.9 is sequenced first.
- code, if applicable, from category Z3A, Weeks of gestation, to identify the specific week of the pregnancy, if known.
Excludes2 — not included here — inherited from Chapter 15
The conditions below are not part of O65.9, but a patient may have both at the same time. When documentation supports it, O65.9 and the excluded code may both be reported.
How long has O65.9 existed?
O65.9 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
What other codes are in the O65 family? (7)
- O65.0Obstructed labor due to deformed pelvis
- O65.1Obstructed labor due to generally contracted pelvis
- O65.2Obstructed labor due to pelvic inlet contraction
- O65.3Obstructed labor due to pelvic outlet and mid-cavity contraction
- O65.4Obstructed labor due to fetopelvic disproportion, unspecified
- O65.5Obstructed labor due to abnormality of maternal pelvic organs
- O65.8Obstructed labor due to other maternal pelvic abnormalities